Organization Active NPI

Therapeutic Health Services

  • Adult Mental Health Clinic/Center
  • Seattle, WA
National Provider Identifier
1346497807
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
032 Issued in WA
Legal business name
THERAPEUTIC HEALTH SERVICES
Practice address
1116 Summit Ave
Seattle, WA 98101-2831
Phone
(206) 323-0930
Fax
(206) 323-3634
NPI assigned
Aug 26, 2008
Organization subpart
Yes
Parent organization
THERAPEUTIC HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sean Potter
Title
Billing Manager
Phone
(206) 323-0930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 032 WA Primary
Methadone Clinic 261QM2800X 17015800 WA

Addresses

Primary practice location

1116 Summit Ave
Seattle, WA 98101-2831

Mailing address

5802 Rainier Ave S
Seattle, WA 98118-2706
Phone (206) 723-1980

Other identifiers 7

IdentifierTypeStateIssuer
1990001MedicaidWA
1994086MedicaidWA
1991116MedicaidWA
1993542MedicaidWA
1994664MedicaidWA
1993658MedicaidWA
1995539MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Therapeutic Health Serv13 organizations share this tax ID, including this one
Part of
Therapeutic Health Serv

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1346497807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182706",
            "telephone_number": "206-723-1980",
            "fax_number": "206-721-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 SUMMIT AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012831",
            "telephone_number": "206-323-0930",
            "fax_number": "206-323-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPEUTIC HEALTH SERVICES",
        "enumeration_date": "2008-08-26",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "206-323-0930"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "032",
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "WA",
            "license": "17015800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990001",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994086",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991116",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1993542",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994664",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1993658",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1995539",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.